01
Tooth Displacement
Dislodged Teeth
Teeth that have been pushed back into their sockets, requiring repositioning, stabilization, and close monitoring for pulp health.
Traumatic Dental Injuries in Missouri City, TX
A knocked-out, dislodged, or fractured tooth is a true dental emergency. Dr. Surbhi Puri provides careful assessment and endodontic care to give your injured tooth the best possible chance of survival.
Traumatic Dental Injuries in Missouri City, TX
A knocked-out, dislodged, or fractured tooth is a true dental emergency. Dr. Surbhi Puri provides careful assessment and endodontic care to give your injured tooth the best possible chance of survival.
What Is a Traumatic Injury?
njuries to the mouth can cause teeth to be fractured, pushed out of position, or knocked out of their socket. Your dentist or endodontist may be able to reposition and stabilize the tooth, allowing it to heal. After the trauma, you will most likely require close follow-up by an endodontist. Our doctor will carefully assess the tooth over the following weeks to determine if your tooth will require further treatment.
Dental injuries can happen in an instant — a sports collision, a fall, a car accident, or even an unexpected bite down on something hard. Regardless of how the injury occurs, the outcome for your tooth often depends on how quickly it's evaluated and treated. Some injuries affect only the outer structure of the tooth, while others reach the pulp, the soft tissue inside the tooth that contains its nerves and blood supply. When the pulp is affected, timely endodontic care becomes essential to relieving pain, preventing infection, and giving the tooth the best chance of long-term survival.
Because every traumatic injury is different, treatment is never one-size-fits-all. Our team takes the time to thoroughly evaluate the specific type and severity of your injury before recommending a course of care.
Traumatic Dental Injuries
Types of Traumatic Injuries We Treat
Dental injuries can affect the tooth, root, or surrounding tissues. Our office carefully evaluates each injury and recommends the right endodontic care.
02
Knocked Out Tooth
Avulsed Teeth
Teeth that have been completely knocked out of the mouth, requiring immediate care to give the tooth the best chance of being saved.
03
Developing Teeth
Injuries in Children
Immature, still developing teeth that may need specialized procedures like apexogenesis or apexification to preserve the tooth.
04
Chips and Cracks
Fractured Teeth
Teeth that have been chipped or cracked due to trauma, which may require endodontic evaluation depending on the depth of the injury.
Time is critical after a dental injury. Contact our office immediately so we can give your tooth the best possible chance of survival.
Dislodged Teeth
Injuries to the mouth can cause teeth to be pushed back into their sockets. Your endodontist or general dentist may reposition and stabilize your tooth. Root canal treatment is usually started within a few weeks of the injury, and a medication, such as calcium hydroxide, will be placed inside the tooth. Eventually, a permanent root canal filling will be implanted.
Sometimes a tooth may be pushed partially out of the socket. Again, your endodontist or general dentist may reposition and stabilize your tooth. If the pulp remains healthy, then no other treatment is necessary. Yet, if the pulp becomes damaged or infected, root canal treatment will be required. If left untreated, many different complications can arise, including infection of the tooth, root system, or surrounding tissue; inadequate hygiene due to an inability to properly clean the dislodged tooth and gums; and loss of the tooth.
Avulsed Teeth
If an injury causes a tooth to be completely knocked out of your mouth, it is important that you are treated immediately. If this happens to you, keep the tooth moist. If possible, put it back into the socket. A tooth can be saved if it remains moist — you can even put the tooth in milk or a glass of water with a pinch of salt added.
Your endodontist may start root canal treatment based upon the stage of root development. The length of time the tooth was out of your mouth and the way the tooth was stored may influence the type of treatment you receive.
Injuries in Children
An injured immature tooth may need one of the following procedures to improve the chances of saving the tooth:
Apexogenesis
This procedure encourages the root to continue development as the pulp is healed. Soft tissue is covered with medication to encourage growth. The tip of the root (apex) will continue to close as the child gets older. In turn, the walls of the root canal will thicken. If the pulp heals, no additional treatment will be necessary. The more mature the root becomes, the better the chance to save the tooth.
Apexification
In this case, the unhealthy pulp is removed. The doctors place medication into the root to help a hard tissue form near the root tip. This hardened tissue provides a barrier for the root canal filling. At this point, the root canal walls will not continue to develop, making the tooth susceptible to fractures, so it is important to have the tooth properly restored by your dentist.
Why See an Endodontist for a Dental Injury?
Not all dental professionals are equally equipped to handle traumatic injuries. Endodontists specialize in diagnosing and treating the internal structures of the tooth — the pulp, the canals, and the root — which is precisely where dental trauma does its greatest damage.
Dr. Surbhi Puri combines her training, including a Certificate of Advanced Graduate Study (CAGS) in Endodontics from Boston University, with careful, long-term monitoring, since a traumatic dental injury is not always fully understood in a single visit. Follow-up care is just as important as the initial treatment.
When every minute counts and the stakes are the survival of your natural tooth, you want a specialist who handles these cases with focused expertise and genuine care.
Dental Trauma Care
What to Expect at Your Dental Trauma Appointment
Each dental injury is carefully evaluated so the extent of the damage can be understood and the appropriate treatment plan can be recommended.
01
Step 1
Assessment & Diagnosis
Our doctor will examine the injured tooth, take x-rays to assess the full extent of the damage, and explain the findings and treatment options clearly.
02
Step 2
Stabilization
Depending on the type and severity of the injury, the tooth may be repositioned and stabilized.
03
Step 3
Treatment
Root canal treatment may be started, along with any necessary medication placed inside the tooth, depending on the nature of the injury.
04
Step 4
Follow-Up Monitoring
Dental trauma often requires careful monitoring over time. Our doctor will schedule follow-up appointments to track healing and address any new concerns.
05
Step 5
Coordination With Your General Dentist
Once treatment is complete, we'll coordinate with your general dentist to ensure the tooth receives any final restorative work needed to fully protect and restore its function.
What Our Patients Are Saying
Frequently Asked Questions About Traumatic Dental Injuries
What should I do if my tooth gets knocked out?
Handle the tooth by the crown only, never the root. If it's dirty, rinse it gently with clean water. If possible, try to reinsert it into the socket, or store it in milk while you seek care immediately — time is critical for the best chance of saving the tooth.
What if my tooth is just chipped or cracked from an injury?
Even if the tooth isn't causing pain right away, internal damage may not be immediately obvious. Avoid chewing on that side and contact our office as soon as possible for an evaluation.
Is a dental injury always an emergency?
Any traumatic dental injury should be evaluated promptly, since delays can affect the long-term outcome for the tooth. Please contact our office right away if you or a family member experiences a dental injury.
Can a knocked-out tooth be saved?
In many cases, yes, especially if treated quickly. The success of reimplantation depends on factors like how the tooth was stored and how much time has passed since the injury.
Do children need different care for dental injuries?
Dental trauma in children can affect developing teeth differently than in adults, sometimes requiring specialized procedures like apexogenesis or apexification. If your child experiences a dental injury, contact our office so we can advise you on the best next steps.
How soon after an injury should I see an endodontist?
As soon as possible. For a knocked-out tooth, every minute matters — the sooner the tooth is repositioned or properly stored and brought in for care, the better its chances of survival. Even for less severe injuries, prompt evaluation helps prevent complications like infection or long-term damage to the tooth.
Every Minute Counts. Contact Us Right Away.
Traumatic dental injuries require prompt attention. Do not wait to seek care for a knocked-out, dislodged, or fractured tooth. Contact Sienna Endodontics as soon as possible to give your tooth the best possible chance of being saved.
Services
Hours
Monday 8:00 am - 5:00 pm
Tuesday 8:00 am- 5:00 pm
Wednesday 8:00 am- 5:00 pm
Thursday. 8:00 am- 5:00 pm
Friday. 8:00 am- 5:00 pm
Saturday Closed
Sunday Closed
5316 Sienna Parkway, Suite 150, Missouri City, TX, 77459, United States
We are committed to making our website accessible to all users. If you experience difficulty accessing any content, please contact us at [email protected] or 281-969-3515 and we will address it promptly.
Dr. Puri's front desk
Online · replies in minutes
Hi, thanks for stopping by! Whether you'd like to book a visit or just have a question, we're right here. How can we help?
Book a free consultation
No pressure · confirmed within a day